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Dec 14, 2012
12/12
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CSPAN
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regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and t
regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose...
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51
Dec 9, 2012
12/12
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MSNBC
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your role was to begin the i am plemtation of aca. in certain ways you got the plum part of the job where you get to cover your young people longer and the end of these insurance mandates in certain ways. but this is the hard part. what should we be looking for? >> exchanges, if they're implemented correctly, can for the first time give individuals who have had no bargaining power against insurance companies, the same bargaining power that they would have if they worked for a large business. through these exchanges, 16 million people who haven't been in the market before are going to buy insurance, they're required to buy insurance. a majority of them will be subsidized by the federal government. so what a great opportunity that is for insurance companies and the exchanges if they go to insurance companies and say, we've got this new market for you. we want you to sell policies that provide good value. we want to have people be able to make apples to apples comparisons among standardized products. that's going to drive prices down and
your role was to begin the i am plemtation of aca. in certain ways you got the plum part of the job where you get to cover your young people longer and the end of these insurance mandates in certain ways. but this is the hard part. what should we be looking for? >> exchanges, if they're implemented correctly, can for the first time give individuals who have had no bargaining power against insurance companies, the same bargaining power that they would have if they worked for a large...
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100
Dec 14, 2012
12/12
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there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will not be coordinated with other welfare programs creating eligibility verification issues. the mandate says we use the correct coding issues. pennsylvania already performed this task through claim check, a federally approved system that cost pennsylvania $12 million to develop. the new system will be micromanaged by the federal government. the ac man it's we create new transaction methods for verification. our technology is more advanced than what is mandated and nobody
there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor-...
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84
Dec 14, 2012
12/12
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CSPAN
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the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out comes a denture health care instead of the process that we currently paid for. -- outcomes of in health care instead of the process we currently pay for. we are looking for patience centered care. if we look for that, we are going to have to pay for it. we have not done that in the past. we are engaged and dramatic and sweeping changes working with our private health insurance partners in arkansas. we have worked closely with cms to make the first of these changes, implementing in october for the state plan, not through waiver. it incentivizes for adhd, perinatal car
the aca contends cost- containment measures by improving care. i was interested in arkansas's payment reform efforts. could you tell us a little bit more about the payment reforms and how they would bring down costs? >> we believe the in arkansas the incentives that we face and the activities we are engaged in in our payment and improvement initiative are aligned with the center for medicare and medicaid innovations. we are engaged in moving away from a fee for service to pay for out...
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394
Dec 17, 2012
12/12
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WFDC
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. >>> entonces, también estuviste acá en julio 15 del 2012. >>> así es. >>> su mayor preocupación es que no terminó la secundaria la directiva que ha dado el presidente barack obama es la acción diferida que nos da dos años de un permiso de trabajo, y una vez que obtengas tu permiso de trabajo puedes obtener tu número de seguro social, y también la buena noticia es que tomas las clases de equivalencia, así que a postular, y si ustedes mandan sus preguntas a despierta américa, sigan escribiendo para ir a responder su pregunta. >>> muchísimas gracias, siempre ayudando a nuestra gente. >>> así es, y si usted tiene dudas llame ahora al número en su pantalla o escríbanos a la dirección en pantalla (información en pantalla) >>> ahí lo tiene,con mucho gusto vamos a ayudarlo. >>> hablando de ayudar, se puede cambiar el destino? tenemos a un experto que nos habla de premoniciones y coincidencias. >>> después de la tragedia de connecticut, tenemos a un psicólogo que nos explica cómo tratar esto con nuestros niños. >>> continuamos dando gracias al a nación ,porque llegamos a
. >>> entonces, también estuviste acá en julio 15 del 2012. >>> así es. >>> su mayor preocupación es que no terminó la secundaria la directiva que ha dado el presidente barack obama es la acción diferida que nos da dos años de un permiso de trabajo, y una vez que obtengas tu permiso de trabajo puedes obtener tu número de seguro social, y también la buena noticia es que tomas las clases de equivalencia, así que a postular, y si ustedes mandan sus preguntas a...
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111
Dec 26, 2012
12/12
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CSPAN2
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. >> that is appointed the aca that you have this discussion in a way that is much harder to have before. it is really saying, for those who are able to continue working, can we begin to re-orient and the expectation for the next generation which is what we are talking about, recognizing that for people who are in that now pre-medicare age, they will no longer have to postpone health care because they have options. it is why this discussion takes on a whole different tone as a result. >> i would say we have options that we don't know if they are affordable options and that is really the big difference. >> i will milliken, a immediate. what can we learn from other countries? i am wondering if any of you have studied the health benefit programs elsewhere and do any have comparable insurance programs in what has been the experience in other nations? >> most of them are struggling muddling with the promises they have made which encourage people to retire even earlier than they do in the united states and finding themselves in very significant fiscal problems. france has to be the poster chil
. >> that is appointed the aca that you have this discussion in a way that is much harder to have before. it is really saying, for those who are able to continue working, can we begin to re-orient and the expectation for the next generation which is what we are talking about, recognizing that for people who are in that now pre-medicare age, they will no longer have to postpone health care because they have options. it is why this discussion takes on a whole different tone as a result....